| NPI | 1780994913 |
|---|---|
| Doing Business As | SUSAN PARK, MD |
| Entity Type | Organization |
| Authorized Contact | SUSAN PARK Owner 212-427-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2327981) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |